Cohen Jason F, Coleman Emma, Kangethe Matheri J
University of the Witwatersrand, Johannesburg, South Africa.
University of the Witwatersrand, Johannesburg, South Africa.
Int J Med Inform. 2016 Feb;86:82-90. doi: 10.1016/j.ijmedinf.2015.10.010. Epub 2015 Nov 4.
Health workers have numerous concerns about hospital IS (HIS) usage. Addressing these concerns requires understanding the system attributes most important to their satisfaction and productivity. Following a recent HIS implementation, our objective was to identify priorities for managerial intervention based on user evaluations of the performance of the HIS attributes as well as the relative importance of these attributes to user satisfaction and productivity outcomes.
We collected data along a set of attributes representing system quality, data quality, information quality, and service quality from 154 nurse users. Their quantitative responses were analysed using the partial least squares approach followed by an importance-performance analysis. Qualitative responses were analysed using thematic analysis to triangulate and supplement the quantitative findings.
Two system quality attributes (responsiveness and ease of learning), one information quality attribute (detail), one service quality attribute (sufficient support), and three data quality attributes (records complete, accurate and never missing) were identified as high priorities for intervention.
Our application of importance-performance analysis is unique in HIS evaluation and we have illustrated its utility for identifying those system attributes for which underperformance is not acceptable to users and therefore should be high priorities for intervention.
医护人员对医院信息系统（HIS）的使用存在诸多担忧。要解决这些担忧，需要了解对他们的满意度和工作效率最为重要的系统属性。在近期实施医院信息系统之后，我们的目标是根据用户对医院信息系统属性表现的评估以及这些属性对用户满意度和工作效率结果的相对重要性，确定管理干预的优先事项。
我们从154名护士用户那里收集了一系列代表系统质量、数据质量、信息质量和服务质量的属性数据。使用偏最小二乘法对他们的定量回答进行分析，随后进行重要性-绩效分析。使用主题分析对定性回答进行分析，以对定量结果进行三角验证和补充。
确定了两个系统质量属性（响应速度和易学习性）、一个信息质量属性（详细程度）、一个服务质量属性（充分支持）以及三个数据质量属性（记录完整、准确且从不缺失）作为干预的高度优先事项。
我们在医院信息系统评估中应用重要性-绩效分析具有独特性，并且我们已经说明了其在识别那些用户无法接受表现不佳情况、因此应作为干预高度优先事项的系统属性方面的效用。
